腎臟移植患者的實證護理－－個別衛教

Evidence-based Nursing of Renal Transplantation Recipients: Individual Education

感染與排斥兩者對於腎臟移植患者來說一直是相當重要的課題，所以醫囑的遵從性對於移植腎臟與受贈者存活率來說具有相當重要的影響性。由於腎臟移植術後患者藥物不遵從的比率在5至50％，而提供病患衛教的最大目標就是能使患者對自己的健康照顧負起責任，以改善健康行為與健康狀態。因此如何將實證結果運用於臨床護理實務中是非常重要的。筆者是運用Rosswurm和Larrabee(1999)所提出的臨床照護改變模式6個步驟，於腎臟移植患者給予個別衛教以提升藥物遵從性。

Infection and rejection are two important factors affecting the survival of kidney transplantation recipients. Compliance of patients is therefore a major predictor of the prognosis of the procedure. Noncompliance to medication among patients receiving kidney transplantation ranged between 5-50%. Therefore, the major goal of health education intervention is to educate the patients to take the responsibility of self-care and follow the medication order consistently and correctly. The author utilized the 6-step clinical care change model of Rosswurm & Larrabee (1999) to educate the kidney transplantation recipients to improve their compliance to medication.